High Risk Newborn: Acquired and Congenital Conditions
1. Causes of respiratory distress: transient
tachypnea meconium aspiration syndrome
persistent hypertension
2. Risk factors for respiratory complications: maternal conditions
(obesity, dia- betes, hypertension)
fetal complications (meconium, PTB, intrauterine growth restriction)
3. Hypoxic ischemic encephalopathy: brain injury due to disrupted blood
flow and oxygen can result from prolonged resuscitation and conditions
like IUGR or placental abnormalities
4. Neonatal resuscitation: placing the newborn under a radiant warmer,
drying, and stimulating and clearing wet towels
5. Other complications of respiratory complications:
hypoglycemia seizures
thermoregulation problems
6. All delivery staff must be trained in neonatal resuscitation which includes:
- assessing key factors like gestation age, amniotic fluid clarity,
breathing, and muscle tone
7. Transient tachypnea of the newborn: delayed absorption of fetal lung
fluid
8. Risk factors of transient tachypnea of the newborn:
c/s macrosomia
multiple gestation
excessive maternal
sedation prolonged or
rapid labor male sex
maternal asthma
9. S/S of transient tachypnea of the newborn:
tachypnea grunting
retractions
nasal
flaring mild
cyanosis
10.How is transient tachypnea of the newborn characterized: rapid
breathing in newborns dur to delayed absorption of fetal lung fluid
typically resolving within 24-48hrs
11. What is a chest xray going to show for transient tachypnea of the
newborn-
: hyperinflation and fluid in the pleural space
12.Meconium aspiration syndrome (MAS): meconium in the lungs
, High Risk Newborn: Acquired and Congenital Conditions
causes ob- struction, chemical pneumonitis and air trapping
13.S/S of meconium aspiration syndrome: tachypnea, cyanosis, grunting,
retrac- tions, nasal flaring, crackles, barrel shape chest/hyperinflation
, High Risk Newborn: Acquired and Congenital Conditions
14.Management of meconium aspiration syndrome: suctioning at
birth thermoregulation
humidified oxygen
respiratory
support/ventilation
surfactant replacement
ECMO
15.What might meconium do to the infant: stain the infant's skin,
nails, and umbilical cord
16.What will a chest xray show on an infant with meconium aspiration
syn- drome: patchy infiltrates, atelectasis, consolidation, and
hyperexpansion
17.Persistent pulmonary hypertension: a condition where pulmonary
vasocon- striction leads to elevated vascular in the lungs impairing
normal neonatal circulation
18.Causes of persistent pulmonary hypertension: abnormal lung
development or maternal use of NSAIDS or SSRIs
asphyxi
a MAS
polycythemia
diaphragmatic
hernia RDS
19.S/S of persistent pulmonary hypertension: respiratory distress within
12hrs after birth
tachypnea
progressive
cyanosis
20.Management of persistent pulmonary hypertension: treat cause of
poor oxygenation to eliminate hypoxemia
medications- pulmonary vasodilators, sedation, high frequency
ventilation, surfac- tant therapy and inhaled nitric oxide
21.What confirms persistent pulmonary hypertension: echocardiogram
22.Nursing considerations for persistent pulmonary hypertension:
prevent hypoxia
stable temp
complications- hypoglycemia, anemia, metabolic acidosis
23. What are ABGs going to look like with persistent pulmonary
hypertension-
: decreased
1. Causes of respiratory distress: transient
tachypnea meconium aspiration syndrome
persistent hypertension
2. Risk factors for respiratory complications: maternal conditions
(obesity, dia- betes, hypertension)
fetal complications (meconium, PTB, intrauterine growth restriction)
3. Hypoxic ischemic encephalopathy: brain injury due to disrupted blood
flow and oxygen can result from prolonged resuscitation and conditions
like IUGR or placental abnormalities
4. Neonatal resuscitation: placing the newborn under a radiant warmer,
drying, and stimulating and clearing wet towels
5. Other complications of respiratory complications:
hypoglycemia seizures
thermoregulation problems
6. All delivery staff must be trained in neonatal resuscitation which includes:
- assessing key factors like gestation age, amniotic fluid clarity,
breathing, and muscle tone
7. Transient tachypnea of the newborn: delayed absorption of fetal lung
fluid
8. Risk factors of transient tachypnea of the newborn:
c/s macrosomia
multiple gestation
excessive maternal
sedation prolonged or
rapid labor male sex
maternal asthma
9. S/S of transient tachypnea of the newborn:
tachypnea grunting
retractions
nasal
flaring mild
cyanosis
10.How is transient tachypnea of the newborn characterized: rapid
breathing in newborns dur to delayed absorption of fetal lung fluid
typically resolving within 24-48hrs
11. What is a chest xray going to show for transient tachypnea of the
newborn-
: hyperinflation and fluid in the pleural space
12.Meconium aspiration syndrome (MAS): meconium in the lungs
, High Risk Newborn: Acquired and Congenital Conditions
causes ob- struction, chemical pneumonitis and air trapping
13.S/S of meconium aspiration syndrome: tachypnea, cyanosis, grunting,
retrac- tions, nasal flaring, crackles, barrel shape chest/hyperinflation
, High Risk Newborn: Acquired and Congenital Conditions
14.Management of meconium aspiration syndrome: suctioning at
birth thermoregulation
humidified oxygen
respiratory
support/ventilation
surfactant replacement
ECMO
15.What might meconium do to the infant: stain the infant's skin,
nails, and umbilical cord
16.What will a chest xray show on an infant with meconium aspiration
syn- drome: patchy infiltrates, atelectasis, consolidation, and
hyperexpansion
17.Persistent pulmonary hypertension: a condition where pulmonary
vasocon- striction leads to elevated vascular in the lungs impairing
normal neonatal circulation
18.Causes of persistent pulmonary hypertension: abnormal lung
development or maternal use of NSAIDS or SSRIs
asphyxi
a MAS
polycythemia
diaphragmatic
hernia RDS
19.S/S of persistent pulmonary hypertension: respiratory distress within
12hrs after birth
tachypnea
progressive
cyanosis
20.Management of persistent pulmonary hypertension: treat cause of
poor oxygenation to eliminate hypoxemia
medications- pulmonary vasodilators, sedation, high frequency
ventilation, surfac- tant therapy and inhaled nitric oxide
21.What confirms persistent pulmonary hypertension: echocardiogram
22.Nursing considerations for persistent pulmonary hypertension:
prevent hypoxia
stable temp
complications- hypoglycemia, anemia, metabolic acidosis
23. What are ABGs going to look like with persistent pulmonary
hypertension-
: decreased
